Dr. Elizabeth Boham

speaker

367 appearances 7 recordings 1 series first heard Nov 2024 last heard 1 Dec

Dr. Elizabeth Boham’s voice in public audio — every appearance, attributed to the second.

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recordings per month · last 12 months

Recordings per month over the last 12 months — 1 in all, peaking in Dec 2025 with 1.

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The Dr. Hyman Show · Fatty Liver Is the New Smoking—And 90 Million Americans Have It · 7 Apr 2025 podcast

It impacts how we can digest food, metabolize food. It impacts our nutritional state in our body. So there's so many reasons why we really want to

Look deeper here.

The Dr. Hyman Show · Reclaim Your Hormones: How to Treat PMS and PCOS Naturally · 9 Dec 2024 podcast

When I see a woman, so often we're dealing with hormone imbalances. They're so prevalent. Everything from, as you mentioned, PMS to issues with menopause and perimenopause to issues with estrogen dominance, right? Or over levels of estrogen, high levels of estrogen in the body, which can lead to breast tenderness or more PMS or cancers like uterine cancer and breast cancer.

So we're really thinking about hormones and hormone balance when anybody comes into the office. So, I mean, that's something, I think that that's an area- And it's so common, right?

Absolutely. So then we need to ask that question, why? Why are the hormones out of balance? and we look at everything from how is the body metabolizing the hormones, how is the microbiome and how is that influencing it, how is the person dealing with stress and is that influencing their hormone balance.

So you wanna look at the whole body when you're trying to figure out what may be out of balance with somebody's hormones. Oh, that's, it's getting so common, right?

So often they'll say, okay, I'm going to put you on birth control pills. Oh, yeah. Right? Right? Like with PMS or regular cycles or perimenopause, that is the common response, you know, is let's just start some birth control pills. Is that safe? And that's going to even everything out.

I don't know. I mean, it's a good question, right? I mean, there are side effects to birth control pills. You know, we see stroke and blood clots with some women with birth control pills.

Absolutely. There's some women where we know that the longer you've been on birth control pills, or if you're on them more than 10 years, or if your risk for breast cancer goes up. So there is an association with long-term use of birth control pills.

Just breast cancer. Yeah.

Yeah. For women, when they're on the birth control pill or if they've been on it a long time, they have a slightly higher risk. And, you know, so that's something we got to pay attention to. Not everybody handles the hormones in the birth control pills the same.

Right, migraines too, absolutely. So you want to ask, well, why is there that imbalance in the hormones and what may be out of balance for that woman? I think perimenopause is such an interesting time where we get a lot of women who come in to the office at that time because they're just feeling so crummy.

Perimenopause is the timeframe between when your cycles are normal and you can easily get pregnant and menopause. So perimenopause are those years, you know, it can be like 10, 13 years of perimenopause, and it can occur anytime. You can go into menopause anytime between 45 and 55. That's typical.

And that perimenopause can be 10, 6 to 10 to 13 years beforehand before you actually go into menopause is considered perimenopause. And it just means, yeah, I mean, there's just, the hormones are not as regular and consistent, right? So what happens a lot in perimenopause is during those years, women will have what are called anovulatory cycles. So

So they don't ovulate every time they have a monthly cycle. Right. And so those anovulatory cycles, meaning no ovulation that month, results in less progesterone being produced in the body.

Right. You think of it as, you know, when you're having regular cycles with ovulation, you have estrogen and progesterone and they sort of balance each other out. And then when you're in those perimenopausal years, you're going to have so many women will have cycles where they don't have that cycle. progesterone spike.

So it feels like their body feels like it's higher in estrogen because they don't have that progesterone to balance it off. And so you feel like you have high estrogen. And like you mentioned, you get more breast tenderness or more clotting or heavier bleeding. And the low progesterone makes us often feel crummy. So you can be more irritable. You can just, you know, cranky.

Harder time sleeping because progesterone really is a calming hormone. It helps us, helps women, helps people sleep better. So when it's low, many times you don't sleep as well. You'll have irregular sleep patterns where you've never had that before. Yeah. And, and, and you just feel more irritable and cranky and, and, and it's no fun.

Absolutely. And I'm so glad.

Yeah, yeah. And I'm so glad you brought that up because all of our hormones are interrelated. They're all playing off each other. They're all influencing each other. And so that's important to really understand because that's how we can really help women feel better.

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